| NPI | 1992974026 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA TL10000815) | 
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: WA TL10000815) | 
| 225XP0200X Occupational Therapist, Pediatrics (Licence: WA TL10000815) | |
| Enumeration Date | 2008-02-22 | 
| Last Update Date | 2008-03-24 |